person
Jessica M Vanderham, CNP
Family Nurse Practitioner in Wagner, South Dakota
NPI 1285143891

Jessica M Vanderham is a Family Nurse Practitioner based in Clemmons, SD and is specialized in Family. Jessica M Vanderham practices in Wagner, SD and has the professional credentials of CNP. The NPI Number for Jessica M Vanderham is 1285143891 and holds a License No. CP001277 (South Dakota).

The current practice location address for Jessica M Vanderham is 513 3Rd St Sw, Wagner, SD and can be reached out via phone at 605-384-3611.

Location: 513 3Rd St Sw, Wagner, SD, 27012-8002
person
Provider Profile Details
NPI Number
1285143891
Provider Name
Jessica M Vanderham
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
513 3Rd St Sw, Wagner, SD, 27012-8002
Phone Number
605-384-3611
Fax Number
Provider Enumeration Date
09/26/2017
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
513 3Rd St Sw
City
State
Zip
57380-9675
Phone Number
605-384-3611
Fax Number
person
Provider Business Mailing Address Details
Address
513 3Rd St Sw
City
State
Zip
57380-9675
Phone Number
605-384-3611
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
CP001277 (South Dakota)
Definition
Definition to come...
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